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Organization
MARK DEARING,LCSW INC
Active
Organization
MARK DEARING,LCSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RICHARD DEARING LCSW (LICENSED CLINICAL SOCIAL WORKER)
(904) 477-5678
Entity
Organization
Contact information
Practice address
12412 SAN JOSE BLVD STE 401, JACKSONVILLE, FL 32223-8620
(904) 348-0343
Mailing address
1703 MOSSY CYPRESS LN, JACKSONVILLE, FL 32223-5023
(904) 477-5678
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW0000953
FL
Other
Enumeration date
07/07/2011
Last updated
02/25/2020
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